Provider Demographics
NPI:1790593481
Name:STARKS COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:STARKS COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:J'KEA
Authorized Official - Middle Name:JAMARA
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DPC, LPC
Authorized Official - Phone:662-806-7259
Mailing Address - Street 1:429 E COMMERCE ST # 167
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-2348
Mailing Address - Country:US
Mailing Address - Phone:662-806-7259
Mailing Address - Fax:
Practice Address - Street 1:8894 BENT GRASS LOOP E
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5344
Practice Address - Country:US
Practice Address - Phone:662-806-7259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty